| OM1.1 |
Sequence Number - Test/Observation Master File |
73 |
IG Fixed Data |
| OM1.2 |
Producer's Service/Test/Observation ID |
|
|
| OM1.2.1 |
Identifier |
600 |
Changeable Data |
| OM1.2.2 |
Text |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.2.3 |
Name of Coding System |
99USL |
Changeable Data |
| OM1.2.7 |
Coding System Version ID |
20130421 |
Changeable Data |
| OM1.4 |
Specimen Required |
Y |
Changeable Data |
| OM1.5 |
Producer ID |
|
|
| OM1.5.1 |
Identifier |
05D0669071 |
Changeable Data |
| OM1.5.2 |
Text |
Century Hospital Clinical Laboratory |
Changeable Data |
| OM1.5.3 |
Name of Coding System |
99USL |
Changeable Data |
| OM1.5.7 |
Coding System Version ID |
2013 |
Changeable Data |
| OM1.5.8 |
Alternate Coding System Version ID |
|
|
| OM1.7 |
Other Service/Test/Observation IDs for the Observation |
|
|
| OM1.7.1 |
Identifier |
66117-3 |
Test Case Fixed Data |
| OM1.7.2 |
Text |
Prostate Pathology biopsy report |
Changeable Data |
| OM1.7.3 |
Name of Coding System |
LN |
Test Case Fixed Data |
| OM1.7.7 |
Coding System Version ID |
2.42 |
Changeable Data |
| OM1.7[2] |
Other Service/Test/Observation IDs for the Observation |
|
|
| OM1.7[2].1 |
Identifier |
|
|
| OM1.7[2].2 |
Text |
|
|
| OM1.7[2].3 |
Name of Coding System |
|
|
| OM1.7[2].7 |
Coding System Version ID |
|
|
| OM1.9 |
Preferred Report Name for the Observation |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.10 |
Preferred Short Name on Mnemonic for Observation |
|
|
| OM1.11 |
Preferred Long Name for the Observation |
|
|
| OM1.12 |
Orderability |
Y |
Test Case Fixed Data |
| OM1.18 |
Nature of Service/Test/Observation |
A |
Test Case Fixed Data |
| OM1.32 |
Interpretation of Observations |
Histologic evaluation of prostate biopsy specimens and additional prognostic information following histologic diagnosis. These
tests help clinicians to diagnose prostate cancer.
|
Changeable Data |
| OM1.33 |
Contraindications to Observations |
|
|
| OM1.33.1 |
Identifier |
|
|
| OM1.33.2 |
Text |
Contraindications to prostate biopsy include acute painful perianal disorders, bleeding diathesis, acute prostatitis, and
severe immunosuppression.
|
Changeable Data |
| OM1.33.3 |
Name of Coding System |
|
|
| OM1.33.7 |
Coding System Version ID |
|
|
| OM1.33.8 |
Alternate Coding System Version ID |
|
|
| OM1.33[2] |
Contraindications to Observations |
|
|
| OM1.33[2].1 |
Identifier |
79411002 |
Changeable Data |
| OM1.33[2].2 |
Text |
Acute prostatitis |
Changeable Data |
| OM1.33[2].3 |
Name of Coding System |
SCT |
Changeable Data |
| OM1.33[2].7 |
Coding System Version ID |
201509-US Ed |
Changeable Data |
| OM1.33[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.34 |
Reflex Tests/Observations |
|
|
| OM1.34.1 |
Identifier |
|
|
| OM1.34.2 |
Text |
|
|
| OM1.34.3 |
Name of Coding System |
|
|
| OM1.34.4 |
Alternate Identifier |
|
|
| OM1.34.5 |
Alternate Text |
|
|
| OM1.34.6 |
Name of Alternate Coding System |
|
|
| OM1.34.7 |
Coding System Version ID |
|
|
| OM1.34.8 |
Alternate Coding System Version ID |
|
|
| OM1.34[2] |
Reflex Tests/Observations |
|
|
| OM1.34[2].1 |
Identifier |
|
|
| OM1.34[2].2 |
Text |
|
|
| OM1.34[2].3 |
Name of Coding System |
|
|
| OM1.34[2].4 |
Alternate Identifier |
|
|
| OM1.34[2].5 |
Alternate Text |
|
|
| OM1.34[2].6 |
Name of Alternate Coding System |
|
|
| OM1.34[2].7 |
Coding System Version ID |
|
|
| OM1.34[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.35 |
Rules that Trigger Reflex Testing |
|
|
| OM1.35[2] |
Rules that Trigger Reflex Testing |
|
|
| OM1.37 |
Patient Preparation |
|
|
| OM1.37[2] |
Patient Preparation |
|
|
| OM1.39 |
Factors that may Affect the Observation |
Specimen submitted unfixed; improperly labeled specimen; unlabeled specimen |
Changeable Data |
| OM1.40 |
Service/Test/Observation Performance Schedule |
Daily |
Changeable Data |
| OM1.40[2] |
Service/Test/Observation Performance Schedule |
|
|
| OM1.48 |
Exclusive Test |
N |
Changeable Data |
| OM1.49 |
Diagnostic Service Sector ID |
OSL |
Changeable Data |
| OM1.51 |
Other Names |
|
|
| OM1.51[2] |
Other Names |
|
|
| OM1.52 |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52.1 |
Identifier |
|
|
| OM1.52.2 |
Text |
|
|
| OM1.52.3 |
Name of Coding System |
|
|
| OM1.52.7 |
Coding System Version ID |
|
|
| OM1.52[2] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[2].1 |
Identifier |
|
|
| OM1.52[2].2 |
Text |
|
|
| OM1.52[2].3 |
Name of Coding System |
|
|
| OM1.52[2].7 |
Coding System Version ID |
|
|
| OM1.52[3] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[3].1 |
Identifier |
|
|
| OM1.52[3].2 |
Text |
|
|
| OM1.52[3].3 |
Name of Coding System |
|
|
| OM1.52[3].7 |
Coding System Version ID |
|
|
| OM1.52[4] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[4].1 |
Identifier |
|
|
| OM1.52[4].2 |
Text |
|
|
| OM1.52[4].3 |
Name of Coding System |
|
|
| OM1.52[4].7 |
Coding System Version ID |
|
|
| OM1.53 |
Prior Results Instructions |
When ordering a Prostate biopsy, send prior Prostate Specific Antigen (PSA) results |
Changeable Data |
| OM1.53[2] |
Prior Results Instructions |
When ordering a Prostate biopsy, send prior relevant clinical findings. |
Changeable Data |
| OM1.54 |
Special Instructions |
Submit Surgical Pathology Requisition and Biopsy Worksheet with specimen |
Changeable Data |
| OM1.54[2] |
Special Instructions |
|
|
| OM1.55 |
Test Relationship Category |
|
|
| OM1.55.1 |
Identifier |
|
|
| OM1.55.2 |
Text |
|
|
| OM1.55.3 |
Name of Coding System |
|
|
| OM1.55.7 |
Coding System Version ID |
|
|
| OM1.55.8 |
Alternate Coding System Version ID |
|
|
| OM1.55[2] |
Test Relationship Category |
|
|
| OM1.55[2].1 |
Identifier |
|
|
| OM1.55[2].2 |
Text |
|
|
| OM1.55[2].3 |
Name of Coding System |
|
|
| OM1.55[2].7 |
Coding System Version ID |
|
|
| OM1.55[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.56 |
Observation Identifier associated with Producer's Service/Test/Observation ID |
|
|
| OM1.56.1 |
Identifier |
66117-3 |
Changeable Data |
| OM1.56.2 |
Text |
Prostate Pathology biopsy report |
Changeable Data |
| OM1.56.3 |
Name of Coding System |
LN |
Test Case Fixed Data |
| OM1.56.4 |
Alternate Identifier |
600 |
Changeable Data |
| OM1.56.5 |
Alternate Text |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.56.6 |
Name of Alternate Coding System |
99USL |
Changeable Data |
| OM1.56.7 |
Coding System Version ID |
2.48 |
Changeable Data |
| OM1.56.8 |
Alternate Coding System Version ID |
20130421 |
Changeable Data |
| OM1.56.9 |
Original Text |
|
|
| OM1.57 |
Expected Turn-Around Time |
|
|
| OM1.57.1 |
Quantity |
3 |
Changeable Data |
| OM1.57.2 |
Units |
|
|
| OM1.57.2.1 |
Identifier |
d |
Changeable Data |
| OM1.57.2.2 |
Text |
day |
Changeable Data |
| OM1.57.2.3 |
Name of Coding System |
UCUM |
Changeable Data |
| OM1.57.2.7 |
Coding System Version ID |
1.8 |
Changeable Data |
| OM1.57.2.8 |
Alternate Coding System Version ID |
|
|
| OM1.58 |
Gender Restriction |
|
|
| OM1.58.1 |
Identifier |
|
|
| OM1.58.2 |
Text |
|
|
| OM1.58.3 |
Name of Coding System |
|
|
| OM1.58.7 |
Coding System Version ID |
|
|
| OM1.58.8 |
Alternate Coding System Version ID |
|
|
| OM1.58[2] |
Gender Restriction |
|
|
| OM1.58[2].1 |
Identifier |
|
|
| OM1.58[2].2 |
Text |
|
|
| OM1.58[2].3 |
Name of Coding System |
|
|
| OM1.58[2].7 |
Coding System Version ID |
|
|
| OM1.58[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.59 |
Age Restriction |
|
|
| OM1.59.1 |
Low Value |
|
|
| OM1.59.2 |
High Value |
|
|
| OM1.59[2] |
Age Restriction |
|
|
| OM1.59[2].1 |
Low Value |
|
|
| OM1.59[2].2 |
High Value |
|
|